Elmwood of Fremont, LTD.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELMWOOD OF FREMONT, LTD.

Practice address

1545 Fangboner Rd
Fremont, OH 43420-1128

Phone

(419) 332-6533

Fax

(419) 332-6535

NPI assigned

Aug 10, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kathy Kay Hunt

Title

Managing Member

Phone

(419) 332-3378

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Elmwood Assisted Living of Fremont Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597017600000",
    "number": "1841801347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "441 N BROADWAY ST",
            "city": "GREEN SPRINGS",
            "state": "OH",
            "postal_code": "448369689",
            "telephone_number": "419-332-3378",
            "fax_number": "419-639-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 FANGBONER RD",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434201128",
            "telephone_number": "419-332-6533",
            "fax_number": "419-332-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMWOOD OF FREMONT, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-10",
        "last_updated": "2020-08-10",
        "certification_date": "2020-08-10",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "419-332-3378"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2707931",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmwood Assisted Living of Fremont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brittany Ellenberger
• Sara E Ellerbrock, PT
• Tammy M. Elling, PC
• Marlene S Ellis, LISW
• Elmwood of Fremont, LTD.
• Catherine Noel Elwood
• Encore McHenry LLC
• Anthony Esker, PTA
• Nancy Yvonne Estep, L.M.T.
• Robyn Everhart

• Assisted Living Facility in Fremont, OH
• Providers in Fremont, OH by specialty
• Assisted Living Facility in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.